Screening Tools

Lifestyle Risk Screening Tool

Health Behavior Assessment)

AUDIT (Alcohol Use Disorders Identification Test) (source: World Health Organization)

Physical Activity Readiness Questionnaire (source: Exercise is Medicine)

Wellness Questionnaire and Action Plan (English), Wellness Questionnaire and Action Plan (Spanish) (source: Hennepin County SHIP)

Adult Pre-Visit Planner (source: Hennepin County SHIP)

Clinic Height/Weight Measurement Protocol (source: Park Nicollet Health Services)

Last updated Oct 23, 2013